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PERMIT APPLICATIO <br /> BUILDIN�MECHANICAL / PLUMBING / SIG�PRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION 290529004003,290529001021,290529001011, <br /> PROJECT SITE ADDRESS: 35'I 3 31 St Df, Everett, WA PROPERTY TAX#: � , <br /> 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: POlygOfl WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srREET 11624 SE 5th Street, Suite 100 <br /> Bellevue c�n WA sTATE 98005 Z�P <br /> owNER PHONE: 425.586.7700 owNER Enn,ai�: alan.pani@polygonhomes.com <br /> CONTRACTOR NAME; Saill2 aS OWII@f <br /> CONTRACTOR ADDRESS: srReEr Same as Owner <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:425.586.7700 CONTRACTOR EMAIL:aIaC1.p8Cll C�1 pOlyg011hOill@S.00111 <br /> CONTRACTOR LICENSE#(REQUIRED): pOlygWI863pW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O�J3222 <br /> PRIMARY CONTACT: �OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.5H6.77O0 <br /> Alan Pani coNT,acr EMai�: alan.pani@polygonhomes.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/8 Contract Price of Work:$ 103,575.00 <br /> Proposed Use of Building: MUltl-Fallllly TOWflhO►712S Heat Source: ❑Gas �Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-#of Units: 5 ❑Commercial ❑Industrial <br /> Type of Project: C�New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: COC1St�UCt Ulllt F Ifl BICIg �9.2, a Type E - 5 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 5-plex unit is 10,995 total SF, plan type F is 1,381 SF, 562 sf garage, 66 sf deck/patio <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: X New _ Addn _Alteration _Repair Type of Project: X New _Addn _Alteration _Repair <br /> #of List of Fixtures #of ��sf of Fixtures #of Lisf of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater � Bathtub Urinal <br /> Gas Piping Boiler 4 Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> � Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap <br /> Gas Range Ducting � Dishwasher Roof Drains <br /> � Clothes Dryer Hookups Other: � Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confi�m the information contained herein is true and co�rect. Work done pursuant to this permit must comp/y with <br /> current federal,state,and local law. The granting of a pe�mit only authorizes approved work and no deviations therefrom.Deviafions must first be authorized in writing from the <br /> Building Official before beinq authorized under any circumstance. 1 am the owner,or I am authorized by the owner of this property to perform the work for which applicatfon is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ���� ���.s.l�b �� C��'�� 1 � <br /> Owner/A orized Agent Signature Date (Revised 10/12/2015) <br />